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The Pain Cognitions Questionnaire.

K Boston1, S A Pearce, P H Richardson

  • 1Shrodells Psychiatric Unit, Watford General Hospital, Herts, U.K.

Journal of Psychosomatic Research
|January 1, 1990
PubMed
Summary
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This study introduces the Pain Cognitions Questionnaire for chronic pain patients. Negative pain cognitions correlate with pain severity and mood, but positive ones do not, impacting pain assessment and treatment.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Pain Management

Background:

  • Chronic pain affects a significant portion of the population.
  • Cognitive factors play a crucial role in the experience of pain.
  • Existing measures may not fully capture the nuances of pain-related cognitions.

Purpose of the Study:

  • To develop and validate the Pain Cognitions Questionnaire (PCQ).
  • To explore the factor structure of pain cognitions.
  • To examine the relationship between pain cognitions, pain severity, and mood in chronic pain patients.

Main Methods:

  • Development of the Pain Cognitions Questionnaire.
  • Administration to 90 mixed chronic pain patients.
  • Exploratory factor analysis to determine the underlying structure of the questionnaire.

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Main Results:

  • Factor analysis revealed two negative and two positive cognitive factors.
  • Negative pain cognition scores were significantly associated with higher pain severity and poorer mood.
  • No significant associations were found between positive pain cognitions and pain severity or mood.

Conclusions:

  • The PCQ effectively measures distinct negative and positive pain cognitions.
  • Negative cognitions are strongly linked to the subjective experience of chronic pain and emotional distress.
  • Findings suggest a focus on negative pain cognitions in the assessment and treatment of chronic pain.